Top Health Care Quality Digest Care Transition Healthcare Content for Week of Aug 03 - Aug 09, 2024 (2024)

Fierce Healthcare

AUGUST 6, 2024

A federal appeals court has upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing. | A federal appeals court upheld a lower court decision that struck down key parts of legislation aimed at reforming surprise medical billing.

Health Care Dive

AUGUST 8, 2024

The decision, disclosed Wednesday in a securities filing, is a sharp reversal to the pharmacy behemoth’s past commitment to building out its healthcare delivery offerings.

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Healthcare It News

AUGUST 8, 2024

Michigan Health Information Network Shared Services, or MiHIN, has partnered with Beyond Lucid Technologies, a healthcare data exchange and analytics company, as well as the Reading Emergency Unit and South Central-based Hillsdale Hospital. The aim is to facilitate data exchange between REU and the hospital through MiHIN's secure network. Not only will ambulatory medical professionals be able to access a more complete view of the patient, but MiHIN will also route their continuity of care do

HIT Consultant

AUGUST 7, 2024

Aaron Painter, CEO of Nametag Imagine you’re an IT professional for a large health system. A resident physician calls and says he must urgently send in a patient script, but he’s locked out of the system and needs a password or account reset. You recognize his voice. He provides his ID number and other credentials for verification. You successfully restored his access so he can log in – only, it wasn’t the doctor that you just spoke to.

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Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.

Fierce Healthcare

AUGUST 8, 2024

Big Health, a maker of digital treatments for mental health, has clinched Food & Drug Administration (FDA) clearance of its product for insomnia, Fierce Healthcare has learned in an a | SleepioRx, its flagship digital therapeutic, is intended for the treatment of chronic insomnia and insomnia disorder as an adjunct to usual care in adults over 18.

Health Care Dive

AUGUST 7, 2024

On Wednesday, CVS slashed its earnings guidance for the third time this year, announced a plan to cut $2 billion in costs and fired the head of its insurance division Aetna, which continues to struggle with high medical utilization.

Healthcare It News

AUGUST 8, 2024

To address members’ and family members' back and joint pain from home, Vori Health, a musculoskeletal care company, has joined with employee benefits payer Star Marketing and Administration Inc., known as Trustmark Small Business Benefits, to offer physician-led orthopedic virtual care. WHY IT MATTERS By partnering with Trustmark, Vori Health will offer members of small business group plans physical medicine and rehabilitation, physical therapy, prescriptions, imaging and lab ordering,

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Health Care Quality Digest brings together the best content for healthcare quality professionals from the widest variety of industry thought leaders.

Healthcare It News

AUGUST 8, 2024

To address members’ and family members' back and joint pain from home, Vori Health, a musculoskeletal care company, has joined with employee benefits payer Star Marketing and Administration Inc., known as Trustmark Small Business Benefits, to offer physician-led orthopedic virtual care. WHY IT MATTERS By partnering with Trustmark, Vori Health will offer members of small business group plans physical medicine and rehabilitation, physical therapy, prescriptions, imaging and lab ordering,

HIT Consultant

AUGUST 8, 2024

What You Should Know: – Opkit, a generative AI call center for the healthcare industry, announces its HIPAA-compliant, AI-powered software platform that automates back office phone calls for medical clinics. – The platform manages outbound calls to payers for insurance verification, claims, and prior authorization, as well as calls to pharmacies for prescription checks, and calls to collect medical records.

Fierce Healthcare

AUGUST 7, 2024

Centene is exiting six states through its WellCare Medicare Advantage subsidiary next year, investment bank Stephens has revealed. | WellCare is leaving six states next year, impacting more than 37,000 Centene members across the country.

Health Care Dive

AUGUST 7, 2024

One challenge hospitals face is reimbursem*nt from private payers, which doesn’t cover the higher costs of care in rural areas, according to a report by the Center for Healthcare Quality and Payment Reform.

Healthcare It News

AUGUST 6, 2024

Enterprise Taxonomy: Telehealth Operations Quality Care Workflow Digital Health Emerging Technologies Patient Access Business Care Process Technology Node settings: Exclude from Accelerate RSS feed

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Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

HIT Consultant

AUGUST 6, 2024

What You Should Know: – A new McKinsey survey reveals that the healthcare industry is increasingly recognizing the potential of generative AI (gen AI) to revolutionize patient care and operational efficiency. – While a majority of healthcare organizations are exploring or implementing gen AI solutions, concerns about risks and challenges remain.

Fierce Healthcare

AUGUST 6, 2024

FDA releases roster of digital health advisory committee, chaired by American College of Cardiology innovation officer ebeavins Tue, 08/06/2024 - 10:26

Health Care Dive

AUGUST 7, 2024

The slide in the nation’s uninsured rate could become steeper if subsidies in the Affordable Care Act exchanges expire on schedule next year, according to health policy experts.

Home Health Care

AUGUST 7, 2024

Staying on course with its payer innovation strategy, Enhabit Inc. (NYSE: EHAB) has decided to walk away from certain Medicare Advantage (MA) payers – and namely UnitedHealth Group’s (NYSE: UNH) UnitedHealthcare. That decision, and the recent home health proposed payment rule, were top of mind for Enhabit leaders on Tuesday. Specifically, Enhabit President and CEO Barb Jacobsmeyer expressed the company’s support for the Preserving Access to Home Health Care Act , which would help stop payment cu

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Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

HIT Consultant

AUGUST 5, 2024

Ashley Franks, Chief Nursing Informatics Officer at TigerConnect Nurses, the backbone of the medical field, have been facing a critical threat: burnout. A recent survey by the National Council of State Boards of Nursing found that nurses are under immense strain due to high workloads and stress, with a significant portion of nurses (between 45% and 56%) feeling emotionally drained, exhausted, and burned out regularly.

Fierce Healthcare

AUGUST 8, 2024

The Centers for Medicare and Medicaid Services released a final procedural notice on Wednesday to expedite Medicare coverage of novel medical devices and get the devices to Medicare benef | CMS released a final procedural notice on its TCET rule, which would expedite coverage for FDA Breakthrough medical devices. A bill is also making its way through Congress that would replace the rule.

Health Care Dive

AUGUST 8, 2024

The latest attack on the Grand Blanc, Michigan-based health system comes less than a year after it was hit by a ransomware attack.

Home Health Care

AUGUST 6, 2024

Mass General Brigham has been awarded a $4.6 million grant to examine the delivery of short-term rehab care at home as an alternative to skilled nursing facilities (SNFs). The funds come from the Massachusetts Executive Office of Health and Human Services (EOHHS). In the U.S., 40% of older adults leaving the hospitals need some form of post-hospital care.

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This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

HIT Consultant

AUGUST 8, 2024

What You Should Know: – Pelago , a digital clinic partner for substance use management, released its 2024 Annual State of Substance Use Management Trend Report. – The report underscores the critical role employers play in addressing the widespread issue of substance use in the American workforce. Employers Urged to Support Substance Use Management The survey of 1,210 U.S. workers revealed a significant gap in employer support for substance use management.

Fierce Healthcare

AUGUST 8, 2024

Private equity firm Prospect Medical Holdings has entered into an agreement to sell off Crozer Health to CHA Partners. | Prospect Medical Holdings has entered into an agreement to sell off Crozer Health to CHA Partners.

Health Care Dive

AUGUST 7, 2024

Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025.

Home Health Care

AUGUST 8, 2024

After experiencing some contract loss blows in the recent past, Modivcare Inc. (Nasdaq: MODV) has begun to log some tallies in the win column. The company gained $33 million of annual contract value during its second quarter, and onboarded a significant state contract in early June. This contract has already started demonstrating strong performance and results, according to CEO Heath Sampson.

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

HIT Consultant

AUGUST 8, 2024

What You Should Know: – FuturHealth , a leader in personalized weight-loss solutions launches its Custom Meal Plans. Designed to complement the growing popularity of GLP-1 medications, the new offering provides a comprehensive approach to weight management and long-term health. – As the use of GLP-1 medications surges, FuturHealth recognizes the need for a holistic approach to weight loss.

Fierce Healthcare

AUGUST 7, 2024

As it seeks to boost its financial fortunes, CVS Health has "identified a multiyear opportunity" to generate as much as $2 billion in savings, CEO Karen Lynch told investors Wednesday. | As it seeks to boost its financial fortunes, CVS Health has "identified a multiyear opportunity" to generate as much as $2 billion in savings, CEO Karen Lynch told investors Wednesday.

Health Care Dive

AUGUST 5, 2024

The struggling drugstore chain has been chipping away at its stake in Cencora, formerly known as AmerisourceBergen, since last summer.

Home Health Care

AUGUST 5, 2024

Centene Corp. (NYSE: CNC) is set to pull back on Medicare Advantage (MA) in at least six states next year. As the Centers for Medicare & Medicaid Services (CMS) has made cuts to core rates over the last couple of years, insurers have put the brakes on MA expansion. Specifically, Centene will exit Alabama, Massachusetts, New Hampshire, Rhode Island, New Mexico and Vermont in 2025, according to the investment banking company Stephens.

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Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

HIT Consultant

AUGUST 8, 2024

What You Should Know: – MEDITECH launches Traverse Exchange , a new nationwide health information exchange (HIE) network designed to facilitate secure and efficient sharing of patient data among healthcare providers. – Built on the foundation of the successful Traverse Exchange Canada, the new platform enables MEDITECH customers to exchange health information with other MEDITECH organizations and external systems that adhere to interoperability standards.

Fierce Healthcare

AUGUST 6, 2024

UnitedHealthcare will launch a national program Oct. 1 for physicians to override traditional prior authorization requirements. | Physician practices in good standing will be able to skip prior authorization for some services, the insurer recently announced.

Health Care Dive

AUGUST 6, 2024

The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Providers argued that unfairly advantaged insurers.

Home Health Care

AUGUST 8, 2024

Aveanna Healthcare Holdings Inc. (Nasdaq: AVAH) is progressing with its preferred-payer strategy and strategic transformation, despite the challenges it has faced since going public in 2021. On Thursday’s second-quarter earnings call, the company reported its overall revenue at $505 million, a 7% increase compared to the same time last year. This growth was driven by a $30.2 million increase in private-duty services (PDS) and a $3.6 million increase in the medical solutions segment.

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.